Clova
DPP
Enroll
Staff sign in
NEW PARTICIPANT
Diabetes Prevention Registration
Create your secure participant account and enroll in the DPP course.
First Name (as shown on your insurance card) *
Last Name (as shown on your insurance card) *
Date of Birth *
Must be 18 or older
Gender *
Male
Female
Email *
Phone Number *
Password *
At least 12 characters
Confirm Password *
Body Weight (lb) *
Race for BMI eligibility *
Select an option
Asian
Non-Asian
Body Height (feet) *
Body Height (inches) *
Calculated BMI
—
BMI eligibility: 23 or higher for Asian participants; 25 or higher for other participants. The team must confirm clinical and insurance eligibility.
Insurance Plan *
Insurance Member ID *
Interested in using CGM? *
Yes
No
Interested in research studies? *
Yes
No
Address *
City *
State *
Zip Code *
Planned Training Start Date *
Create account and enroll
Smart Ring Activation Code Assigned
Please copy and paste this 6 digits code into Smart Ring page, you will need this code for activation.